Dwelling Interior Survey

Lucas County - Assessor's Office

The Assessor’s Office is providing this form in an attempt to help property owners comply with Iowa Code Sec 441.19.  The law requires all property owners report any new construction and/or improvements to the Assessor’s Office.  Providing this information ensures the accuracy of our records and your assessment.  Please complete this form and return it to the Assessor’s Office.  Thank you for your cooperation.

Format: 321-456-7890

# of Rooms:
Rooms Bedrooms Bathrooms Garage Stalls
1st Floor
2nd Floor
3rd+ Floor
Bathrooms: (Check all the apply)
N/A Regular Bathtub Whirlpool Bathtub Shower Toilet Sink 2nd Sink
Basement Bathrooms:
Bathroom #1:
Bathroom #2:
Bathroom #3:
Bathroom #4:
Bathroom #5: